Individual
JHOMEL DESCALZO BADUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
TAXI SERVICE
Contact information
Practice address
16-1584 34TH AVE, KEAAU, HI 96749
(808) 430-7301
Mailing address
17-606 S IPUAIWAHA PL, KEAAU, HI 96749-8209
(808) 430-7301
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
H01332106
—
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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